WGU D444 OBJECTIVE ASSESSMENT PREP | QUESTIONS AND
ANSWERS | VERIFIED AND WELL DETAILED ANSWERS | LATEST
EXAM UPDATE
Which dietary instruction is most important for the nurse to explain to a
client who has had gastric bypass surgery?
A Reduce intake of fatty foods
B Sip fluids with each meal
C Eat small frequent meals
D Chew slowly and thoroughly
C Eat small frequent meals
A client is admitted to the hospital for treatment of a simple goiter, And
levothyroxine sodium is prescribed. Which symptoms indicate to the nurse
that the prescribed dosage is too high for this client?
A Muscle cramping and dry flushed skin
B Lethargy and lack of appetite
C Palpitations and shortness of breath
D Bradycardia and constipation
C Palpitations and shortness of breath
During a home visit, the nurse assesses the skin of a client with eczema who
reports an exacerbation Of symptoms has occurred during the last week.
Which information is most useful and determining the possible cause of
symptoms?
A An old friend with eczema came for a visit
B A grandson and his new dog recently visited
C Corticosteroid cream was applied to eczema
D Recently received an influenza immunization
B A grandson and his new dog recently visited
An older adult client with psoriasis of the liver and hepatic failure is placed
on a low sodium diet and is receiving periodic albumin infusions. Which
assessment finding indicates progress toward the desired effect of this
treatment?
,A Clear, dark amber colored urine
B Improved level of consciousness
C Decreased abdominal girth
D Prothrombin time with normal limits
C Decreased abdominal girth
The nurse is caring for a client who reports persistent, gnawing abdominal
pain. To help the client manage the pain which assessment data is most
important for the nurse to obtain?
A Activity of bowel sounds
B Level and amount of physical activity
C Eating patterns and dietary intake
D Color and consistency of feces
C Eating patterns of dietary intake
The nurse is caring for a client after a coronary artery bypass graft
surgery. The client is exhibiting pitting edema in the lower extremities and
jugular venous distention with increased central venous pressure. Which
condition should the nurse suspect the client is experiencing based on these
findings?
A Cardiac tamponade
B Left ventricular dysfunction
C Right sided heart failure
D Internal bleeding
C Right sided heart failure
A client is diagnosed with chronic kidney disease and needs to begin
dialysis. Which condition entered on the clients medical record should the
nurse recognize as a contraindication for peritoneal dialysis?
A Type two diabetes mellitus
B Latent hepatitis C
CCrohn's disease with colectomy
DNephrotic syndrome history
CCrohn's disease with colectomy
, A client arrives to the medical surgical unit four hours after a transurethral
resection of the prostate. A triple lumen catheter for continuous bladder
irrigation with normal saline is infusion and the nurse observes dark pink
tined outflow with blood clots in the tubing and collection bag. Which
action should the nurse take?
A Discontinue infusion solution
B Irrigate the catheter manually
C Decreased the flow rate
D Monitor catheter drainage
D Monitor a catheter drainage
A client who had colon surgery three days ago is anxious and requesting
assistance to reposition. While the nurse is turning the client the wound
dehisces and eviscerates. The nurse moistens and available sterile dressing
and place it over the wound. Which intervention should the nurse
implement next?
A Obtain a sample of the drainage and sent to the laboratory
B Prepare the client to return to the operating room
C Auscultate the abdomen for bowel sound activity bring
D additional sterile dressing supplies to the room
B Prepare the client to return to the operating room
A client with a fracture of the right femur has a skeletal traction applied.
Which intervention should the nurse include in the client's nursing plan of
care?
A Assess the sites for signs of infection
B Remove traction every shift and provide skin care
C Assess the pulses proximal to the fracture site
D Administer pain medication at designated intervals around the clock
A Assess the pin site for signs of infection
A client with renal calculus reports, severe right flank pain, nausea, and
vomiting which nursing problem has the highest priority?
A Risk for aspiration related to vomiting
B Impaired renal function related to pain
ANSWERS | VERIFIED AND WELL DETAILED ANSWERS | LATEST
EXAM UPDATE
Which dietary instruction is most important for the nurse to explain to a
client who has had gastric bypass surgery?
A Reduce intake of fatty foods
B Sip fluids with each meal
C Eat small frequent meals
D Chew slowly and thoroughly
C Eat small frequent meals
A client is admitted to the hospital for treatment of a simple goiter, And
levothyroxine sodium is prescribed. Which symptoms indicate to the nurse
that the prescribed dosage is too high for this client?
A Muscle cramping and dry flushed skin
B Lethargy and lack of appetite
C Palpitations and shortness of breath
D Bradycardia and constipation
C Palpitations and shortness of breath
During a home visit, the nurse assesses the skin of a client with eczema who
reports an exacerbation Of symptoms has occurred during the last week.
Which information is most useful and determining the possible cause of
symptoms?
A An old friend with eczema came for a visit
B A grandson and his new dog recently visited
C Corticosteroid cream was applied to eczema
D Recently received an influenza immunization
B A grandson and his new dog recently visited
An older adult client with psoriasis of the liver and hepatic failure is placed
on a low sodium diet and is receiving periodic albumin infusions. Which
assessment finding indicates progress toward the desired effect of this
treatment?
,A Clear, dark amber colored urine
B Improved level of consciousness
C Decreased abdominal girth
D Prothrombin time with normal limits
C Decreased abdominal girth
The nurse is caring for a client who reports persistent, gnawing abdominal
pain. To help the client manage the pain which assessment data is most
important for the nurse to obtain?
A Activity of bowel sounds
B Level and amount of physical activity
C Eating patterns and dietary intake
D Color and consistency of feces
C Eating patterns of dietary intake
The nurse is caring for a client after a coronary artery bypass graft
surgery. The client is exhibiting pitting edema in the lower extremities and
jugular venous distention with increased central venous pressure. Which
condition should the nurse suspect the client is experiencing based on these
findings?
A Cardiac tamponade
B Left ventricular dysfunction
C Right sided heart failure
D Internal bleeding
C Right sided heart failure
A client is diagnosed with chronic kidney disease and needs to begin
dialysis. Which condition entered on the clients medical record should the
nurse recognize as a contraindication for peritoneal dialysis?
A Type two diabetes mellitus
B Latent hepatitis C
CCrohn's disease with colectomy
DNephrotic syndrome history
CCrohn's disease with colectomy
, A client arrives to the medical surgical unit four hours after a transurethral
resection of the prostate. A triple lumen catheter for continuous bladder
irrigation with normal saline is infusion and the nurse observes dark pink
tined outflow with blood clots in the tubing and collection bag. Which
action should the nurse take?
A Discontinue infusion solution
B Irrigate the catheter manually
C Decreased the flow rate
D Monitor catheter drainage
D Monitor a catheter drainage
A client who had colon surgery three days ago is anxious and requesting
assistance to reposition. While the nurse is turning the client the wound
dehisces and eviscerates. The nurse moistens and available sterile dressing
and place it over the wound. Which intervention should the nurse
implement next?
A Obtain a sample of the drainage and sent to the laboratory
B Prepare the client to return to the operating room
C Auscultate the abdomen for bowel sound activity bring
D additional sterile dressing supplies to the room
B Prepare the client to return to the operating room
A client with a fracture of the right femur has a skeletal traction applied.
Which intervention should the nurse include in the client's nursing plan of
care?
A Assess the sites for signs of infection
B Remove traction every shift and provide skin care
C Assess the pulses proximal to the fracture site
D Administer pain medication at designated intervals around the clock
A Assess the pin site for signs of infection
A client with renal calculus reports, severe right flank pain, nausea, and
vomiting which nursing problem has the highest priority?
A Risk for aspiration related to vomiting
B Impaired renal function related to pain
